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Individual

AMY LOUISE IMAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDPT, CCAR.CG

Contact information

Practice address
6910 DIANN ST NE, OLYMPIA, WA 98516-9568
(360) 218-7690
(253) 348-1092
Mailing address
6910 DIANN ST NE, OLYMPIA, WA 98516-9568
(360) 218-7690
(253) 348-1092

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAAR.CG.61661713
WA

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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